Stephen Leo
Individual provider Active NPI Driver · Closter, NJ
NPI 1386205367 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1386205367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- L26047220008592 (NJ)
- Practice address
- 24 Westminster Ave
Closter, NJ 07624-1217 - Phone
- (201) 784-2039
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L26047220008592 | NJ | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | L26047220008592 | NJ | Yes |
Addresses
Primary practice location
24 Westminster Ave
Closter, NJ 07624-1217
Mailing address
24 Westminster Ave
Closter, NJ 07624-1217
Phone (201) 784-2039
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sleo@newyorklife.com |
Other providers in Closter, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.